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How the race-based eGFR equation harmed many Black patients Because the race correction raised estimated kidney function in Black patients: • Their kidneys often looked “healthier” longer — which meant chronic kidney disease (CKD) could remain undetected for longer.  • As a result, diagnosis, referrals to nephrologists, and treatment (like listing for transplant or starting dialysis) were delayed — until the disease advanced further.  • This delay is especially harmful because Black or African
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